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1630 Unknown

A 57-year-old male is admitted to the hospital for a suspected kidney infection (likely pyelonephritis). The patient is placed on intravenous antibiotic therapy but continues to have a temperature of 103degF after 3 days of therapy. The urine culture grows lactose fermenting GNB which is pan drug sensitive On examination, he appears ill and has marked left flank tenderness. Ultrasound depicts the following finding What is the most likely diagnosis?

AHydronephrosis
BNephrolithiasis
CEmphysematous pyelonephritis
DPerinephric abscess
Unknown
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1632 Unknown

A 51-year-old man has noted right hip pain for the past 3 months. On physical examination he has diminished range of motion of the right hip. A radiograph reveals a 10 x 13 cm mass involving the right ischium of the pelvis. The mass has irregular borders and there are extensive areas of bony destruction along with some scattered calcifications. The lesion is resected, and grossly the mass has a bluish-white cut surface. Which of the following attributes is most likely to describe this mass?

AThe most frequent primary tumor of bone
BUsually seen in distal skeletal bones
CMore common in females
DSometimes seen to arise in benign cartilagenous tumors
Unknown
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1637 Unknown

A newborn male, normal at bih staed developing cyanosis. On auscultation a continuous murmur was audible. The child was put on supplemental oxygen but no improvement was noted rather the oxygen saturation of the neonate kept falling fuher. Pediatrician on call made a provisional diagnosis of a Duct dependant lesion. What is the next line of management?

AAdminister prostaglandin inhibitor
BAdminister PGG2
CAdminister PGE1
DTake the baby to OR immediately for surgical management of the defect
Unknown
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